Organization
HOLY MEDICARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FATIMO A ISHADIMU (PRESIDENT/OWNER)
(708) 203-0303
Entity
Organization
Contact information
Practice address
3670 SCHOOL DR, APT/SUITE, COUNTRY CLUB HILLS, IL 60478-4949
(708) 203-0303
Mailing address
3670 SCHOOL DR, APT/SUITE, COUNTRY CLUB HILLS, IL 60478-4949
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/25/2014
Last updated
10/25/2014
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